<!DOCTYPE HTML PUBLIC '-//W3C//DTD HTML 4.01 Transitional//EN' 'http://www.w3.org/TR/html4/loose.dtd'>
<html>
 <head>
  <link href="style.css" rel="stylesheet">
 
  <meta http-equiv="content-type" content="text/html; charset=utf-8">
  <meta name="generator" content="PSPad editor, www.pspad.com">
  <meta name="viewport" content="width=device-width, user-scalable=no" />
  <title>Galen Stuff</title>
 </head>
 <body>
  <div>
   Patient Name: $name<br>
   Etc...
  </div>
 </body>
</html>